| Ms Tina Fay Ebenstein, LPCC | |
|
60 Bennett Cir, London, KY 40741-2842 | |
| (606) 878-1692 | |
| (606) 862-9334 |
| Full Name | Ms Tina Fay Ebenstein |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 60 Bennett Cir, London, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871943886 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 169400 (Kentucky) | Primary |
| Entity Name | Isaiah House Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396086559 PECOS PAC ID: 7113262163 Enrollment ID: O20181219000602 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Tina Fay Ebenstein, LPCC Po Box 1429, Mt Washington, KY 40047-1429 Ph: (502) 538-1000 | Ms Tina Fay Ebenstein, LPCC 60 Bennett Cir, London, KY 40741-2842 Ph: (606) 878-1692 |
Whitney Mcphetridge, Counselor Medicare: Not Enrolled in Medicare Practice Location: 850 Ridgewood Rd, London, KY 40741 Phone: 606-389-8073 | |
Melissa Ann Partin, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 2645 N Laurel Rd Ste B, London, KY 40741 Phone: 513-834-7063 | |
Miss Samantha Nicole Reid, BS, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 1907 E Pittsburg Church Rd, London, KY 40741 Phone: 606-389-5269 | |
Callie Elizabeth Quillen, B.S. MHA Counselor Medicare: Medicare Enrolled Practice Location: 915 N Laurel Rd, London, KY 40741 Phone: 606-864-2104 | |
Kenneth Earl Daniels, Counselor Medicare: Not Enrolled in Medicare Practice Location: 565 Highway 192 W, London, KY 40741 Phone: 606-485-5188 | |
Laceysha Jamison, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 21 Middeleground Way, London, KY 40744 Phone: 606-657-5470 Fax: 606-657-5472 | |
Mrs. Janice R. Grentz, LPCC, NCC, CSAT Counselor Medicare: Medicare Enrolled Practice Location: 2197 Pine Hill Brock Rd, London, KY 40741 Phone: 606-877-1840 Fax: 606-877-1840 |